DANCE WITH ME, Creative Movement Class

Dance with Me Creative Movement Class

Ages 6. Months & UP, Location: 214-10 41st Ave Bayside, NY 11361 718-225-3696
Dancer's Name*
Dancer's Age*
Parent's Name*
Parent’s Contact Phone Number *
Please enter a valid phone number.Format: (000) 000-0000.
E-MAIL*
example@example.com
As the adult bringing my dancer to class, I confirm:*

I understand that this class is not a separation or drop-off classI understand that this class requires my participation in activities with my dancerI don't have any medical condition or medical history that will affect my participation in this classI am in good physical condition to participate in this class
Signature*
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Dance with Me Creative Movement Class